BACKGROUND OF THE INVENTION
[0001] The invention relates generally to a radiation treatment apparatus, and more particularly
to such apparatus employing a linear accelerator to provide X-rays or other particle
beams for therapeutic medical applications. Such linear accelerators typically have
an injection point where particles originate in the accelerator, an insertion point
where RF energy enters the accelerator, and an exit point from which the particles
are discharged from the accelerator. The particles may be used directly for treatment
or converted to X-rays by striking a target, typically made from a high density material
such as gold.
[0002] The use of linear accelerators in radiation therapy is generally known. Linear accelerators
are used for generating a high energy radiation beam to be directed at tissue for
treatment. As is well-known, a typical radiation therapy apparatus includes a stand
anchored firmly to the floor of a room and a gantry rotatable on a bearing in the
stand. The operational accelerator structure, housed within and oriented substantially
parallel to a cantilevered strut section of the gantry, is rotatable with the gantry
about the bearing to enable the treatment head at the remote end of the strut section
to be positioned in a continuum of positions and orientations around a patient or
object situated on a platform at the isocenter of the apparatus.
[0003] While such radiation therapy systems have been very successful, a problem has arisen
in radiation therapy systems employing cantilevered linear accelerators. When the
gantry is oriented at specific angular positions/orientations with respect to the
stand, the accelerated particle beam may become slightly misdirected with respect
to the target, producing potentially unsatisfactory results. More particularly, depending
upon the angular position of the gantry, the cantilevered strut section of the gantry
and the similarly cantilevered linear accelerator disposed therein differentially
deflect. This differential deflection will cause the particle beam to follow a different
path within the bending magnet and to strike the target at different input angles,
ultimately affecting the X-ray beam intensity profile of the radiated X-rays as the
gantry is rotated. The flatness of the beam intensity profile at all gantry angles
is referred to as "rotational flatness".
[0004] Attempts have been made to electronically correct the misalignment problem attributable
to gravitational deflection, but such efforts, standing alone, have not been entirely
effective. In particular, such electronic solutions must generally include circuitry
to measure the amount of misalignment and incorporate a feedback mechanism to correct
for the misalignment. An example of an appropriate feedback mechanism is one or more
wound coils disposed proximately to the beam path for directing the beam path. This
type of solution is considerably more complex than the invention disclosed herein,
and fails to likewise address the cause of the misalignment problem.
[0005] Additional attempts have been made to improve rotational flatness by stiffening the
support plate used to affix the linear waveguide accelerator to the cantilevered gantry
section. However, such methods for resolving the rotational flatness problem have
been relatively ineffective because they offer no ready means of adjustment.
SUMMARY OF THE INVENTION
[0006] In accordance with the present invention there is provided a radiation treatment
apparatus with an improved rotational flatness characteristic. In particular, the
inventive radiation treatment apparatus improves the rotational flatness characteristic
of the radiation treatment apparatus by mechanically matching the deflection of the
accelerated particle beam and the bending magnet supported by the cantilevered strut
in which the accelerator is housed.
[0007] The radiation treatment apparatus includes a stand for movably supporting a gantry
thereon; the gantry having a vertical section and a generally linear cantilevered
strut section. Inside the cantilevered strut section of the gantry, and longitudinally
supported in generally parallel relationship therewith, is a substantially linear
particle accelerator. In order to improve the rotational flatness characteristic of
the radiation treatment apparatus, a tuneable stiffening apparatus or other means
for maintaining alignment between the accelerated particle beam and the bending magnet
housed in the cantilevered strut section is provided. By maintaining beam alignment,
the rotational flatness is greatly improved.
BRIEF DESCRIPTION OF THE DRAWINGS
[0008]
FIGURE 1 is an elevation view of a radiation treatment apparatus according to the
present invention showing specific internal components thereof;
FIGURE 1a is a diagram illustrating exemplary beam intensity profile graphs;
FIGURE 2 is an enlarged elevation view of a cantilevered strut section and treatment
head of a radiation treatment apparatus in accordance with the invention; and
FIGURE 3 is a perspective view of a stiffening apparatus in accordance with the invention.
DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENT
[0009] Referring to the drawings and especially to FIGURE 1, a radiation treatment apparatus
10 is shown such that specific internal components of the apparatus are visible. The
radiation treatment apparatus 10 includes a stand 12 and a gantry 14 rotatable on
a bearing 20 which transversely extends through the stand 12 and gantry 14. The gantry
14 may be formed in two sections: a vertical section 16, and a cantilevered strut
section 18; the cantilevered strut section 18 being generally perpendicular to and
cantilevered from the vertical section 16. At the end of the strut section 18, remote
from the vertical section 16, is a treatment head 22 from which a radiation beam 27
generated by the apparatus is directed toward a patient 23 situated on platform 28.
[0010] A linear accelerator 30 is disposed within and longitudinally supported in generally
parallel relationship with the cantilevered strut section 18. The accelerator 30 has
a linear accelerating portion 31 and an RF insertion waveguide portion 36 extending
substantially perpendicularly from the linear accelerating portion 31 at a junction
38. At the end of the accelerator 30, remote from the treatment head 22, is a particle
gun 32, or "injection point", of the accelerator. The particles exit the linear portion
of the accelerator 30 at point 34, where they enter a 270° achromatic bending magnet
35 and exit at point 37 to strike a high density target 39 from which X-rays 27 are
created. The RF insertion waveguide portion 36 provides transmission of RF energy,
thereby enabling particle acceleration within the accelerator 30. The RF energy is
typically provided by a magnetron or klystron 15. The RF energy enters the linear
accelerating portion 31 of the accelerator 30 at the accelerator junction 38.
[0011] In operation, the generated X-rays 27 are used to treat a treatment area, such as
a cancer tumor 26 at or near the isocenter. Notably, the X-ray energy delivered to
the treatment area 26 is constant regardless of the angular position of the gantry.
A normalized beam intensity profile with the gantry up, or at zero degrees, is shown
in FIGURE 1a at graph 27b, and one with the gantry down, or at 180 degrees, is shown
in FIGURE 1a at graph 27a. These are typical of sub-optimal rotational flatness. The
beam intensity profile graph 27a has a positive slope and energy profile graph 27b
has a negative slope; neither is flat. Examples of energy profiles which are flat
at all gantry angles are shown in FIGURE 1a at graphs 27c and 27d, and in FIGURE 1
at 27d.
[0012] In order to facilitate applying a radiation beam to a properly situated patient from
one of a continuum of angular positions, the gantry 14 may be rotated on its bearing
20 about a rotational axis 25 with respect to the stand 12 so that the treatment head
22 encircles the patient located at the isocenter 26 of the apparatus. Thus, the cantilevered
strut section 18 may be positioned with respect to stand 12 in a continuum of positions
angularly identified from 0° to 360°.
[0013] The angular orientation of the gantry 14 contributes to the application of deflection
forces on the bending magnet 35 and the accelerator 30 therein. Additional bending
and torsional forces are also present due to the weight of the treatment head 22 and
its position at the end of the strut section 18. The bending magnet 35 and accelerator
30 thus have differential deflections at different angular orientations of the gantry
14 (i.e., the accelerator 30 and the bending magnet 35 deflect at different angles).
These differential deflections can result in a relative misalignment between the components
such that the accelerated particle beam hits the target 39 at different input angles
depending upon the angular orientation of the gantry 14, affecting the flatness of
the X-ray beam intensity profile shown in FIGURE 1a at graphs 27a and 27b.
[0014] One approach to solving this problem would be to couple the accelerator 30 and the
bending magnet 35 together nearer the treatment head 22. However, the density of components
near the treatment head 22 makes this approach unfeasible. Additionally, directly
coupling the accelerator to the bending magnet at one point only constrains position
(translation), not slope (rotation), at that point. Accordingly, in order to resolve
these problems, a tuneable plate 40 according to the present invention is used to
affix the accelerator 30 to strut section 18. The stiffness of the plate 40 is chosen,
as will be discussed in greater detail below, such that the particle beam remains
aligned with the bending magnet 35, thereby improving the rotational flatness characteristic
of the machine.
[0015] Referring now to FIGURE 2, an embodiment of the invention which provides improved
rotational flatness employs an improved support plate 40 to be attached to accelerator
30 to inhibit the above-described differential deflection. Specifically, the support
plate 40 is coupled to the accelerator 30 by a pair of stabilizing blocks 46a and
46b. The blocks 46a and 46b and the support plate 40 may be held together by a number
of long bolts 47a, 47b or other conventional means, while the accelerator 30 is firmly
gripped between the blocks 46a and 46b. The support plate 40 is also attached to an
inner surface 19 of the cantilevered strut section 18 by conventional means, such
as machine screws or bolts 49a, 49b, which extend through the cantilevered strut section
18.
[0016] The thickness of the support plate 40 is chosen to allow the deflection of the accelerator
to be tuned to match the deflection of the bending magnet. Because different size
accelerators deflect differently, a common support plate 40 is chosen, as seen in
FIGURE 3, and, in one embodiment, is provided with a pair of symmetrically placed
stiffener bars 50 along opposite sides of the support plate 40. It is noted that,
while illustrated as being generally rectangular, the support plate 40 may be of any
suitable configuration. In addition, while two stiffener bars 50 are illustrated,
one or more may be employed. Similarly, while a support plate 40 is shown, the support
may be embodied in support bars having a predetermined stiffness disposed on opposite
sides and/or above the accelerator assembly; additional stiffener bars configured
for tuning the support bars may be provided. Thus, FIGURE 3 is exemplary only.
[0017] As illustrated, the stiffener bars 50 preferably each have a plurality of holes 51a
and 51b, which are used as bolt holes to affix the stiffener bars 50 to the plate
40. The plurality of holes allows use of a plurality of bolts, which allows "tuning"
of the stiffness of the plate 40. In this manner a composite stiffness is achieved,
wherein the radiation or accelerated particle beam remains aligned with the bending
magnet and target. It is noted that while the stiffener bars 50 are illustrated with
a plurality of holes, they may alternatively be configured to be affixed to the support
plate 40 in any tuneable fashion, such as by clamps or welding, so long as the composite
structure has a tuneable stiffness. Providing a plate having a tuneable stiffness
thus permits the same plate and bars to be used for accelerators having different
lengths. The plate 40 also has holes 43 for machine screws or bolts to be inserted
therethrough for attachment to the cantilevered strut section 18.
[0018] The inclusion of the tuneable support plate 40 allows adjustment of the aggregate
bending moment of inertia of the accelerator support assembly, thereby increasing
or decreasing its deflection due to gravitation over its length. The support plate
40 is essentially a stiffening apparatus attached to the accelerator 30 for substantially
maintaining alignment between the accelerated particle beam, bending magnet and target.
Therefore, the tuneable rigidity provided by the plate 40 serves to improve the rotational
flatness characteristic of the radiation treatment apparatus.
[0019] From the foregoing, it will be appreciated that the invention provides a novel radiation
treatment apparatus and a method for maintaining relative alignment between the accelerated
particle beam, bending magnet, and target to improve the rotational flatness of the
device. The invention is not limited to the embodiment described herein, or to any
particular embodiment. Specific examples of alternative embodiments considered to
be within the scope of the invention include embodiments where the stiffening apparatus
is attached to the accelerator or interior surface of the cantilevered strut section
in a different manner than is described herein. Also, the invention contemplates a
stiffening apparatus of differing configuration or material from that described in
the preferred embodiment. Additionally, the invention contemplates a gantry which
is differently movable or differently orientable with respect to the stand of the
radiation treatment apparatus. Other modifications to the preferred embodiment may
also be made within the scope of the invention. The invention is defined by the following
claims.
1. An apparatus (10) including a gantry (14) having a vertical section (16) and a generally
linear cantilevered strut section (18), and a body (30) disposed within and longitudinally
supported in generally parallel relationship with said cantilevered strut section
(18), said apparatus (10) CHARACTERIZED by a tuneable stiffening apparatus attached
to said body (30) and said strut section (18) for enabling adjustment of the stiffness
therebetween.
2. An apparatus (10) in accordance with claim 1, wherein said stiffening apparatus comprises
a mounting plate (40).
3. An apparatus (10) in accordance with claim 2, wherein said stiffening apparatus further
comprises at least one stiffener bar (50) attached to said mounting plate (40), said
stiffener bar (50) providing said mounting plate (40) with additional bending stiffness.
4. An apparatus (10) in accordance with claim 3, wherein said stiffener bar (50) is configured
to be selectably attached to said mounting plate (40) such that a composite stiffness
of said stiffener bar (50) and said mounting plate (40) are selectably tuneable.
5. An apparatus (10) in accordance with claim 4, wherein said stiffener bar (50) includes
a plurality of bolt holes (51a and 51b) adapted to receive a plurality of bolts for
affixing said stiffener bar (50) to said mounting plate (40).
6. An apparatus (10) in accordance with claim 5, wherein said stiffening apparatus is
also attached to said strut section (18) thereby providing alignment between an accelerated
particle beam generated by said body (30), a bending magnet (35) disposed at an end
of said body (30) and a target (39).
7. An apparatus (10) in accordance with claim 1, further comprising a bearing (20) on
a stand (12) for rotatably anchoring said apparatus (10) to a floor.
8. An apparatus (10) in accordance with claim 7, wherein said gantry (14) is rotatable
in a 360° range with respect to said stand (12).
9. An apparatus (10) in accordance with claim 8 wherein said stiffening apparatus comprises
a mounting plate (48), at least one stiffener bar (50) attached to said mounting plate
(40), and a stiffener bar (50) for providing said mounting plate (40) with additional
bending stiffness, said stiffener bar (50) being selectably attached to said mounting
plate (40) such that a composite stiffness of said stiffener bar (50) and said mounting
plate (40) is selectively tuneable.
10. An apparatus (10) in accordance with claim 9, wherein said stiffening apparatus is
selectably tuneable such that said apparatus (10) produces a substantially flat energy
profile graph.